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General NPI Number Information
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NPI Number | 1174860654
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Entity Type | Organization
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Legal Business Name | NEER PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 709 BEECHURST AVE SUITE 9
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City | MORGANTOWN
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State | WV
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Zip | 26505-4689
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Country | US
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Telephone | 304-290-0923
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Fax |
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Provider Business Mailing Address
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Address Line | 709 BEECHURST AVE SUITE 9
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City | MORGANTOWN
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State | WV
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Zip | 26505-4689
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Country | US
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Telephone | 304-290-0923
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHYLLIS J. NEER
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Credential | PHD
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Telephone | 304-290-0923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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